Individual provider Active NPI

Andrew Hill, LCSW, CBIS

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1588022248
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-16248 Issued in MT
Practice address
425 North 5TH Street West
Suite F, #211
Missoula, MT 59802-2953
Phone
(406) 215-2225
Fax
(406) 215-2226
NPI assigned
Feb 9, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-16248 MT Primary

Addresses

Primary practice location

425 North 5TH Street West
Suite F, #211
Missoula, MT 59802-2953

Mailing address

425 North 5TH Street West
Suite F, #211
Missoula, MT 59802-2953
Phone (406) 215-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160614001705 MT Practitioner - Clinical Social Worker 7719278274 Reassigns benefits to 1 organization
Practice locations: Missoula, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Missoula Therapy PLLCGroup PAC ID 1254686025, 2 clinicians

Practice addresses (Care Compare)

3819 Stephens Ave
Suite 300
Missoula, MT 59801-8522
Phone (406) 215-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-16248MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Missoula Therapy, PLLC CurrentSince Jun 1, 2018 Accepting new patients

Locations

3819 Stephens Ave
Ste 300
Missoula, MT 59801
Phone (406) 215-2225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1588022248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 NORTH 5TH STREET WEST",
            "address_2": "SUITE F, #211",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022953",
            "telephone_number": "406-215-2225",
            "fax_number": "406-215-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 NORTH 5TH STREET WEST",
            "address_2": "SUITE F, #211",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022953",
            "telephone_number": "406-215-2225",
            "fax_number": "406-215-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "ANDREW",
        "credential": "LCSW, CBIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-16248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.